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Home My WebLink About12040 PLBG (replace water heatr) /� CITY OF OSHKOSH No 12040 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �. SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT �WH Disp —WSoft CBasin ' —Lav Sh —DW —DF —San. Sewer —WC —FDr SP —Ur Storm Sewer —Sink —LTub —Eject —SS —Water Other ' ov FEES: Valuation $�� Permit Fee Paid $ �b� Park Dedication $ ISSUED BY � a�-�,.� Date � —�''t �— Final/O.P. , In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � �i :�� SIGNATURE �' � AGENT/OWNER DATE . ADDRESS TELEPHONE k .